{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:20:21Z","timestamp":1787800821844,"version":"build-2784847793"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,27]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Access to kidney transplantation (KT) in Africa is reported to be limited. Lack of registry data and reliance on single-centre reports limits an accurate overview of KT on the continent. We therefore undertook a survey of all African Association of Nephrology (AFRAN)-affiliated nephrologists to describe KT practices and challenges on the continent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Voluntary participants (n\u00a0=\u00a0317) were recruited from AFRAN social media platforms using snowball sampling. Participants completed an anonymized survey detailing KT practices and barriers using a Likert scale. Training and practice in KT and perceived barriers were described for the survey as a whole and sub-analysed by KT programme capability and country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most respondents (66.9%) were active in KT to some degree; 73.2% reported having received KT training. KT-active respondents were heterogeneously distributed, with the majority practicing in North Africa, Nigeria and South Africa. Overall, 71.3% of respondents, representing 28 nations, reported access to a KT programme, with 18 nations reporting at least one local centre performing engraftment; deceased donor engraftment was available in only 6 nations. State-funded KT was available in 12 nations with the remainder relying on mixed or patient-funded models. Formalized KT regulation was reported by 26 nations. Cost of KT, lack of government support and policy, and sociocultural factors were commonly identified as barriers to KT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Resource limitations continue to restrict access to KT in Africa. Government support is required to facilitate funding and policy development to overcome these challenges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ndt\/gfag030","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:41:53Z","timestamp":1770813713000},"page":"1654-1664","source":"Crossref","is-referenced-by-count":0,"title":["Kidney transplantation in Africa\u2014workforce, capabilities and perceived barriers"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0367-3051","authenticated-orcid":false,"given":"Malcolm","family":"Davies","sequence":"first","affiliation":[{"name":"University of the Witwatersrand Department of Internal Medicine, , 7 York Road, Parktown, 2193, Johannesburg ,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheetal","family":"Chiba","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand Department of Internal Medicine, , 7 York Road, Parktown, 2193, Johannesburg ,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4625-0139","authenticated-orcid":false,"given":"Wesley","family":"van\u00a0Hougenhouck-Tulleken","sequence":"additional","affiliation":[{"name":"Sefako Makgatho Health Sciences University Division of Nephrology, Department of Internal Medicine, , Molotlegi Street, Ga-Rankuwa Zone 1, 0208, Ga-Rankuwa ,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awatef","family":"Azzabi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Sousse , Rue Khelifa El Karoui, Sahloul IV, 4002, Sousse ,","place":["Tunisia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouna","family":"Hamouda","sequence":"additional","affiliation":[{"name":"Monastir University Hospital Department of Nephrology, Dialysis, and Transplantation, , Avenue Avicenne, Monastir, 5019, Monstir ,","place":["Tunisia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Intissar","family":"Haddiya","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Mohammed Premier Department of Nephrology, Faculty of Medicine and Pharmacy, , BV Mohammed VI, B.P. 524, 6000, Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Atuhe","sequence":"additional","affiliation":[{"name":"Mother Kevin Postgraduate Medical School Department of Internal Medicine, , P.O. 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